Active NPI
Daniel J. Federspill, CTFD OPTICIAN
- Optician
- Greenwood, IN
National Provider Identifier
1225154891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 35-1762626
- Practice address
- 3100 Meridian Parke Dr
Suite J
Greenwood, IN 46142-9427 - Phone
- (317) 888-9755
- Fax
- (317) 888-9768
- NPI assigned
- Mar 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 35-1762626 | IN | Primary |
Addresses
Primary practice location
3100 Meridian Parke Dr
Suite J
Greenwood, IN 46142-9427
Mailing address
3100 Meridian Parke Dr
Suite J
Greenwood, IN 46142-9427
Phone (317) 888-9755
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-1762626 | IN | MD | Optician |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Eyewear Supplier
- Greenwood, IN
- NPI 1013057744
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219622400000",
"number": "1225154891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 MERIDIAN PARKE DR",
"address_2": "SUITE J",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461429427",
"telephone_number": "317-888-9755",
"fax_number": "317-888-9768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 MERIDIAN PARKE DR",
"address_2": "SUITE J",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461429427",
"telephone_number": "317-888-9755",
"fax_number": "317-888-9768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEDERSPILL",
"first_name": "DANIEL",
"middle_name": "J.",
"name_prefix": "Mr.",
"credential": "CTFD OPTICIAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-22",
"last_updated": "2008-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "IN",
"license": "35-1762626",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenwood, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.